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Home My WebLink AboutPermit Building 2004-7-19 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rKll'll"'U.LD Building/Combination Permit PERMIT NO: COM2004-00869 ISSUED: 07/19/2004 APPLIED: 07/13/2004 EXPIRES: 01119/2005 VALUE: $ 5,400.00 SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300400 TYPE OF WORK: Medical Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Add 90 minute door with mag hold open. Owner: WILLAMETTE MEDICAL CENTER LLC Address: 541 WILLAMETTE ST #106 EUGENE OR 97401 Contractor Type General 1 CONTRACTOR INFORMATION I License 63771 Expiration Date 0211212006 Contractor MElLI CONSTRUCTION CO I, BUILDING INFORMATION I B .~:~~'1~;ructure 1-1.2 ~ '\'1Y{l~~JIeat: VNSpr ~~ '" 9--~'t~pe: ~~'" ~<;;;R~e Type: ~\... '\~S ~\><Ehergy Path: S~'f.'N\.~ ,?-'Q'f. Sprinkled Building: nla ;<:. .\."\.. ,~ .C- ,.., ~'\:)'\''"'~\.~~\.\> ~ SJ':OOYELOPMENT INFORMATION..!'~~~ is' ,(~S 'X-\>~ ~r::..,<;;; ~ ~ ,s.\W O~ :-..,O!:)," REQUIRED PARKING , :-0~ -~<;;; \>'r rP: 0C$ ~0 n5S ~ Frontyard Setback: 'f. ~",. 'Q'" Overlay Dist: ~ ~ O~ 'iP0 C1l(j" 0~ 'Q Total: Side 1 Setback: r::..,<:::i ~ '\ # Street Trees ~~ ~ ~0 ~0~ O'?-<(. 0'~ 0<::-0 Handicapped: Side 2 Setback: 'f. Paved Driva~tiIit~ 'Q fo0 \?f' ~ 'S' }..e~"" ,p0~ Compact: Rearyard Setback: % of LO~~~~e:..'<'O ~O-S .,e~ 0 e ,0 o~'v Solar Setbacks: _~,O fo~ ^,0'.",<:;}"" vO~ e5.'S''I-....~ ~. ." /~"'-- ~0 ,....p~. ('o.'-J ',<, ........"\: ..:~'\ n.~ ':1 '. .': - =- -.). -.... ~ v ~V I PUBL'IC..,JMP.ROVEM~St 00<::- ~~C!; ! .~,- ~- " 10' 0\0:J 0.(:)' ~O><:f. -r<(. -J..Ov \ eVe, 91Sidewalk Type: o 'S' , 'S' .{o .~ !:)OJ<:;}.~<::-~ ,,0 f0....e' Downspouts/Drains: <::lv~"!;J0v0 ,:,<$' " Description Type of Construction Bid Amount Use Bid Amount # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone 541-485-1417 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I Valuation DescriDtion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,400.00 Value Date Calculated Total Value of Project Pa~e 1 of3 $5,400.00 $5,400.00 07/15/2004 . . CITY 0.. ~rJ:(Jl~lrt<l~LD Building/Combination Permit PERMIT NO: COM2004-00869 ISSUED: 07/19/2004 APPLIED: 07/13/2004 EXPIRES: 01/19/2005 VALUE: $ 5,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line U'PPO pqi4J Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review Fire & Life Safety Amount Paid Date Paid Receipt Number $49.53 $7.62 $5.33 $76.20 $30.48 7/13/04 7/19/04 7/19/04 7/19/04 7/19/04 2200400000000000915 2200400000000000943 2200400000000000943 2200400000000000943 2200400000000000943 Total Amount Paid $169.16 I Plan Reviews , Fire Department Review 07/14/2004 07/16/2004 OK GRG Plan Review: Addition of 90 minute fire rated door to 2 hour area separation wall. Job #COM2004-00869. Provide magnetic door holder and listed smoke detectors as part of hold-open assembly meeting NFP A 72-19992-16.6 or NFPA 72-2002 5.14.6. Initial Review Structural Review 07/14/2004 07/14/2004 07/14/2004 07/15/2004 OK RJB APP JMP To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Paee 20f3 .. . . CITY OF ~rK11~ljFIELD Building/Combination Permit PERMIT NO: COM2004-00869 ISSUED: 07/19/2004 APPLIED: 07/13/2004 EXPIRES: 01119/2005 VALUE: $ 5,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~t-- ~~~ 1- /tf- oy Owner or Contractors Signature Date Page 3 00 . 8r;'!~F"ELD, ~'~,. 1Ua... ~-. J lllliii..ty of Springfield Official Receipt .velopment Services Department Public Works Department . 225 Fifth Street Springfield, Oregon 97477 .. 541-726-3759 Phone Job/Journal Number COM2004-00869 COM2004-00869 COM2004-00869 COM2004-00869 Payments: Type of Payment Check 7/19/2004 RECEIPT #: 2200400000000000943 Date: 07/19/2004 Description Plan Review Fire & Life Safety Building Pennit + 7% State Surcharge + 10% Administrative Fee Paid By MElLI CONSTRUCTION CO. Item Total: Check Number Authorization Batch Number Number How Received Received By 55687 In Person Payment Total: Jmp Page I of 1 3:04:52PM Amount Due 30.48 76.20 5.33 7.62 $119.63 Amount Paid $119.63 $119.63